Ticket for Outdoor Patient
| Ward No. 21 | U-PHC No. | Registration No. 08984 | Date 28/03/2025 |
| Token No | SM/24-25/37565 28/03/2025 | Serial | 011 |
| Patient Name | Mr. DEBOJIT DAS | Contact No | 8017790469 |
| Address | 40/A BAISHNAB PARA 2ND LANE SERAMPORE 712202 | Age | 15 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||